<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<title>Customer infomation</title>
<style type="text/css">
body {
	background-color: #FFC;
}
</style>
<link href="../css/CommonButton.css" rel="stylesheet" type="text/css" />
</head>

<body>
<p>&nbsp;</p>
<form id="form1" name="form1" method="post" action="">
  <p align="right">
  <label for="email">
      <div align="justify"></div>
  <img src="../img/Up_sell.png" width="953" height="121" align="absmiddle" /></label>
  <table width="799" border="0">
    <tr>
      <th width="323" height="490" scope="row"><img src="../img/Hamburger long.gif" width="247" height="421" align="texttop" /></th>
      <th width="466" scope="row"><label for="email2">
        </label>
        <table width="469" border="0">
          <tr>
            <th width="463" scope="row"><label for="email2">
              <div align="center">Email</div>
              </label>
              <div align="center">
                <input type="text" name="email" id="email2" />
              </div></th>
          </tr>
          <tr>
            <th scope="row"><label for="name2">
              <div align="center">Name</div>
              </label>
              <div align="center">
                <input type="text" name="name" id="name2" />
              </div></th>
          </tr>
          <tr>
            <th scope="row"><label for="street2">
              <div align="center">Street</div>
              </label>
              <div align="center">
                <input type="text" name="street" id="street2" />
              </div></th>
          </tr>
          <tr>
            <th scope="row"><label for="city2">
              <div align="center">City</div>
              </label>
              <div align="center">
                <input type="text" name="city" id="city2" />
              </div></th>
          </tr>
          <tr>
            <th scope="row"><label for="street3">
              <div align="center">Street</div>
              <div align="center">
                <input type="text" name="street2" id="street3" />
              </div></th>
          </tr>
          <tr>
            <th scope="row"><label for="phone_number">
              <div align="center">Phone Number</div>
              </label>
              <div align="center">
                <input type="text" name="phone_number" id="phone_number" />
              </div></th>
          </tr>
        </table>
<div align="center"></div>
<input name="Next" type="button" class="CommonButton" id="Next" onclick="this.form.action='payment.jsp';this.form.submit();" value="Next"/></th>
    </tr>
  </table>
  <p align="center">&nbsp;</p>

  <div align="right"></div>
</form>
<p align="left">&nbsp;</p>
<div align="center"></div>
</body>
</html>
